Good Shepherd Retirement LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GOOD SHEPHERD RETIREMENT LLC

Doing business as

Silver Treasures at Lane

Practice address

1769 Lane Ave S
Jacksonville, FL 32210-1334

Phone

(904) 343-0564

NPI assigned

Feb 18, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chester Capuyan

Title

Owner

Phone

(904) 343-0564

Specialties & licenses 1

Addresses

Other names 1

• Silver Treasures at Lane Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1770238669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 LANE AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101334",
            "telephone_number": "904-343-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 LANE AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101334",
            "telephone_number": "904-343-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD RETIREMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "CAPUYAN",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-343-0564"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Treasures at Lane",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yaney Gonzalez, D.M.D
• Zoraya Gonzalez, LPTA
• Gonzalo a Aguilar MD PA
• Good Senior Health
• Good Shepherd LLC
• Jill Good, OTR/L
• Meadow Maze Good, D.O.
• Rebecca Diane Goodbread, CNA
• Bridgid Marie Goode, LMT
• Margaret K Goode, REGISTERED INTERN

• Assisted Living Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.